If you live in certain counties and are enrolled in an HMO plan, you or your routine eye doctor must contact Eye Management, Inc. at 1-800-329-1152, Option1, before you receive ophthalmology services. This is the company that authorizes ophthalmology services and can refer you to a participating doctor for coverage under your HMO plan. Please review the counties below to determine if this applies to you.
Plan: Select the health plan you are enrolled in (shown on your ID card). Note: On our member site, Floridablue.com, your health plan information is automatically shown, so you don’t have to select your plan name.
Plan: Select the health plan you are enrolled in (shown on your ID card). Note: On our member site, Floridablue.com, your health plan information is automatically shown, so you don’t have to select your plan name.
Plan: Select the health plan you are enrolled in (shown on your ID card). Note: On our member site, Floridablue.com, your health plan information is automatically shown, so you don’t have to select your plan name.
Plan: Select the health plan you are enrolled in (shown on your ID card). Note: On our member site, Floridablue.com, your health plan information is automatically shown, so you don’t have to select your plan name.
Plan: Select the health plan you are enrolled in (shown on your ID card). Note: On our member site, Floridablue.com, your health plan information is automatically shown, so you don’t have to select your plan name.
To make your search easier, please see Finding Mental Health Providers for help finding the type of provider you’re looking for, including Psychiatrists and/or Psychologists, Behavior Health Practitioners and Psychiatric/Substance Abuse Facilities.
Plan: Select the health plan you are enrolled in (shown on your ID card). Note: On our member site, Floridablue.com, your health plan information is automatically shown, so you don’t have to select your plan name.
Lactation (breastfeeding) counseling services are usually provided by midwives, obstetricians and facilities that offer delivery services, such as hospitals or birthing centers. Talk to your obstetrician, midwife or your baby's pediatrician to see if they provide lactation counseling. Or, use the Find a Doctor feature above to search for providers in your network.
BlueCare - Yes. Select a participating Primary Care Physician from our BlueCare HMO network. To change your Primary Care Physician online, go to My Account, Benefit & Claims Tab and select Change Primary Care Physician
SimplyBlue - Yes. Select a participating Primary Care Physician from our SimplyBlue HMO network. To change your Primary Care Physician online, go to My Account, Benefit & Claims Tab and select Change Primary Care Physician
BlueChoice - No. With a BlueChoice health benefit plan, you are free to see any physician, without a referral. However, you can minimize your costs by selecting physicians who are General Practitioners, Internists or Family Physicians and who participate in our Preferred Patient Care (PPO) provider network. Visit Find a Doctor and More to see if your physician matches these criteria.
BlueOptions/BlueSelect - No. With the BlueOptions and BlueSelect health benefit plans, you are free to see any physician, without a referral. However you can minimize your costs by selecting physicians who are General Practitioners, Internists or Family Physicians and who participate in NetworkBlue or the BlueSelect Network. Visit Find a Doctor and More to see if your physician matches these criteria.
Yes. You may designate a new PCP at any time. To change your PCP online, go to My Account, Benefit & Claims Tab and select Change Primary Care Physician
On our pharmacy website, select your pharmacy network from the drop down menu and enter a 5-digit zip code to find participating pharmacies outside of Florida. Note: Log on to our member site, Floridablue.com, for personalized pharmacy benefits and cost information.
Please use our Worldwide Doctor and Hospital Finder directory to locate participating providers outside of the United States, Worldwide.
Please use our National Doctor and Hospital Finder directory to locate participating providers outside of Florida within the United States.
Visit www.floridabluedental.com and look under the Find a Dentist heading at the top of the page. You can search by name or location and even print a customized directory of general dentists by county. You can also call Customer Service at (888) 223-4892 from 8 a.m. to 8 p.m., Monday through Friday for BlueDental Choice members or (877) 325-3979 from 8 a.m. to 6 p.m. Monday through Friday for BlueDental Care members to speak with a representative who will help you find a dentist.
BlueDental Choice
(877) 808-0419 (Individual Members)
(866) 946-2583 (group members)
BlueDental Care members should call Customer Service at (877) 325-3979 from 8 a.m. to 6 p.m., Monday through Friday to add or remove dependents from your plan.
For BlueDental Choice, yes. Coverage may be considered out of network.
For BlueDental Care, yes. If you’re more than 100 miles from the nearest available participating general dentist, you can obtain reimbursement for expenses for emergency care rendered by any licensed dentist, less applicable company copayments, up to $100 per member, per year, upon presentation of an itemized statement of emergency services from the dental office that provided the care. Florida Combined Life must be notified of any emergency treatment within 90 days of receipt of care.
Please refer to your policy or certificate of coverage for plan exclusions and limitations.
Yes. Go to floridabluedental.com and access MyBlueDental. You can view and print Explanation of Benefits statements, review covered services and claims, check your annual maximum and benefit amounts used to-date and more.
If you have BlueDental Care and your dentist participates in our BlueDental Care prepaid network, you may continue to see him or her. If your dentist is not a member of our BlueDental Care prepaid network, you can nominate him or her by calling (877) 325-3979 from 8 a.m. to 6 p.m., Monday through Friday.
If you have BlueDental Choice you will receive maximum benefits and be protected from balance billing when you use a participating provider in the BlueDental Choice and Choice Plus (PPO) or BlueDental Choice Copayment (PPO) networks. If your dentist is not a member of our BlueDental Choice and Choice Plus (PPO) or BlueDental Choice Copayment (PPO) networks, you can nominate by calling 888-223-4892 from 8 a.m. to 8 p.m., Monday through Friday or by emailing us at fclprovidernomination@fclife.com.
BlueDental Care:
Members can reach our Customer Service representatives from 8 a.m. to 6 p.m. Monday through Friday, at (877) 325-3979.
BlueDental Choice:
Benefits - members can reach our Customer Service representatives from 8 a.m. to 5 p.m. Monday through Friday at 888-223-4892.
Billing - (877) 808-0419 (Individual Members)
(866) 946-2583 (Group Members)
Log on to our member site,Floridablue.com, and go to Account → Account Settings to change your Primary Care Physician or call the number on the back of your member ID card.
We appreciate your feedback and continually look for ways to improve your search for participating providers. Please click here to share your suggestions.
Log on to our member site, Floridablue.com, and click on My Plan → Benefits & Coverage to see what your plan pays for covered services and to view your benefit booklet. If you have questions, please call the number on the back of your member ID card.
FB OPD FAQ 001 062015